At 05:34hrs the rescue box was dispatched for the MVA with people trapped in the 3700 block of Highway 90. Upon arrival of Truck 21 a pickup truck was found to have side swiped a car and then struck a tree with the driver unconscious and heavily trapped. Beginning extrication, Truck 21 and Engine 22 placed 2-sets of Holmatro tools into service with Engine 24 assisting to remove the door, lift the dash and work to free the heavily trapped driver. Following 43-minutes of extrication the driver was removed and turned over to FBCEMS Medic 610 and Battalion Chief 604. Following taking up, and assisting Stafford PD, all units returned to service at 07:10hrs.